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Fatty Liver: Symptoms, Causes and Treatment

July 12, 2026 · Town Hospital editorial team

Medically reviewed by the Internal Medicine, Liver, Kidney & Diabetes Department at Town Hospital

Fatty Liver: Symptoms, Causes and Treatment

Introduction

Fatty liver is one of the most common liver problems, and it is often discovered by chance during a routine ultrasound or blood test — because in its early stages it usually has no clear symptoms. The reassuring news is that, in most cases, it can improve with lifestyle changes if it is caught early.

What is fatty liver?

Fatty liver means an excess build-up of fat inside the liver cells. The most common type is "non-alcoholic fatty liver," which is usually linked to factors such as being overweight, diabetes and high blood lipids.

Fatty liver symptoms

In most cases there are no clear symptoms at first, which is why follow-up matters. As the condition progresses, some people may notice:

  • General fatigue or a feeling of tiredness
  • Mild discomfort or heaviness in the upper right side of the abdomen

Causes and risk factors

  • Being overweight or obese, especially abdominal fat
  • Diabetes and insulin resistance
  • High triglycerides or cholesterol
  • Physical inactivity and a diet high in sugars and fats

When to see a doctor

If you have any of the risk factors above (excess weight, diabetes, high lipids), it is worth having a liver assessment even without symptoms. Also, if an ultrasound shows fat on the liver, it is best to follow up with a doctor to determine the grade and a follow-up plan.

Diagnosis

Assessment usually includes a clinical exam, liver function tests, and an abdominal ultrasound. The doctor decides which tests are appropriate for your case.

Fatty liver treatment options

The cornerstone of treatment is lifestyle change, which makes the biggest difference:

  • Gradual weight loss if you are overweight
  • A balanced diet with fewer sugars and saturated fats
  • Regular physical activity
  • Controlling diabetes, lipids and blood pressure if present

Any additional medication is decided by the doctor according to your condition and its grade — not something to decide without medical advice.

How Town Hospital helps you

At Town Hospital, we provide a comprehensive assessment of your liver health, including the necessary tests and imaging, along with a practical follow-up plan that helps you control the condition and reduce the risk of it progressing over time.

Frequently asked questions

Is fatty liver dangerous?
In its early stages it usually improves with lifestyle changes, but leaving it untreated for a long time can raise the risk of more serious liver problems — which is why early follow-up matters.

Can fatty liver return to normal?
Many early cases improve clearly with weight loss and diet changes, and your doctor will explain what to expect in your case.

Is there a specific food that treats fatty liver?
There is no magic food, but a balanced diet low in sugars and processed fats, together with physical activity, is the foundation.

Do I need medication?
Many cases improve with lifestyle change alone; medication is decided by the doctor when needed and according to the case.

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